| NPI | 1508003401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A MARTIN Owner 201-891-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 31TD00065100) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |